Individual
JESSICA P CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5420 CORPORATE BLVD, STE 308, BATON ROUGE, LA 70808
(225) 364-2550
Mailing address
5420 CORPORATE BLVD, STE 308, BATON ROUGE, LA 70808-2544
(225) 364-2550
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/05/2016
Last updated
09/04/2018
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